Agency
American Health Management, INC.
American Health Management, INC. was paid $99.38M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is S5108, Home care training to home care client, per 15 minutes — 90% of everything it billed.
33Billing provider infoAMERICAN HEALTH MANAGEMENT, INC.
RICHMOND, KY 40475
RICHMOND, KY 40475
33aNPI1215076567assigned 02/05/2007
33bProvider typeCase Management Agency
28Total paid$99.38M
24GClaims724,472
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Kentucky
Rank by total paid#1 of 94
Median peer was paid$3.21M
This provider vs. median31×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 96,651 | $9.78M | |
| 2019 | 119,087 | $13.18M | |
| 2020 | 134,308 | $15.17M | |
| 2021 | 119,491 | $14.18M | |
| 2022 | 100,170 | $17.98M | |
| 2023 | 82,214 | $15.27M | |
| 2024incomplete | 72,551 | $13.82M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5108 | Home care training to home care client, per 15 minutes | 90% | 616,551 | 62,218 | $89.65M |
| T1016 | Case management, each 15 minutes | 5.0% | 42,475 | 39,979 | $4.97M |
| S5100 | Day care services, adult; per 15 minutes | 3.3% | 50,624 | 3,433 | $3.29M |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 1.3% | 6,407 | 5,902 | $1.32M |
| T1005 | Respite care services, up to 15 minutes | <1% | 2,844 | 232 | $79K |
| S5170 | Home delivered meals, including preparation; per meal | <1% | 5,571 | 335 | $67K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialUPCHURCH, KELLY (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| Horizon Adult Health Care LLC | Harlan, KY | $3.80M |
| American Health Management, INC. | Whitley City, KY | $3.58M |
| Horizon Adult Health Care LLC | Monticello, KY | $3.05M |
| American Health Management, INC. | Irvine, KY | $2.94M |
| Horizon Adult Health Care LLC | Albany, KY | $2.78M |
| Horizon Adult Health Care LLC | Pineville, KY | $2.34M |
| American Health Management, INC | Mt. Vernon, KY | $2.10M |
| American Health Management, INC. | Williamsburg, KY | $2.05M |
| American Health Management, INC. | Mckee, KY | $1.81M |
| American Health Management, INC. | Manchester, KY | $599K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.